Arginine is converted to nitric oxide by nitric oxide synthase (NOS). NO relaxes blood vessel smooth muscle, lowering blood pressure and improving blood flow — including to the penis (ED mechanism) and muscles (exercise). The problem: oral arginine is heavily metabolized by the enzyme arginase in the gut wall and liver before it reaches the bloodstream. This is why citrulline — which bypasses arginase and converts to arginine in the kidneys — actually raises blood arginine levels MORE than arginine itself.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.